NPIMap

Organization Active NPI

Shamil PC

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1215100136
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
056625 Issued in GA
Legal business name
SHAMIL PC
Practice address
5363 Veterans Pkwy
Columbus, GA 31904-4423
Phone
(706) 507-5441
Fax
(706) 507-5460
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Piyush B Patel, MDNPI 1629011283
Title
Owner
Phone
(706) 507-5441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 056625 GA Primary

Addresses

Primary practice location

5363 Veterans Pkwy
Columbus, GA 31904-4423

Mailing address

PO Box 2585
Columbus, GA 31902-2585
Phone (706) 507-5441

Other names 1

  • Rosehill Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080602000749 GA Part B Supplier - Clinic/Group Practice 8224108378 Receives reassigned benefits from 10 practitioners
Practice locations: Waverly Hall, GA; Columbus, GA

National Provider Directory

National Provider Directory

Locations

400 Bradley Park Dr
Columbus, GA 31904
Phone (706) 322-3040

119 Oakview St
Waverly Hall, GA 31831
Phone (706) 582-2117

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327708800000",
    "number": "1215100136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2585",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022585",
            "telephone_number": "706-507-5441",
            "fax_number": "706-507-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044423",
            "telephone_number": "706-507-5441",
            "fax_number": "706-507-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMIL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2012-01-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-507-5441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosehill Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.